Abstract

We describe the clinical and laboratorial features of oral candidiasis in 66 HIV-positive patients. Polymerase chain reaction-based techniques were performed for differentiation of Candida spp. isolated from patients at a public teaching hospital in Midwest Brazil. Oral lesions, mainly pseudomembranous, were significantly related to higher levels of immunosuppression. Of 45 Candida isolates, 66.7% were C. albicans. Most of the isolates were susceptible to the antifungal drugs tested. Oral lesions were associated with higher immunosuppression levels. Lower susceptibility to antifungals by non-albicans isolates supports the importance of surveillance studies using susceptibility tests to aid in the treatment.

Highlights

  • We describe the clinical and laboratorial features of oral candidiasis in 66 human immunodeficiency virus (HIV)-positive patients

  • Introduction: We describe the clinical and laboratorial features of oral candidiasis in 66 HIV-positive patients

  • Polymerase chain reaction-based techniques were performed for differentiation of Candida spp. isolated from patients at a public teaching hospital in Midwest Brazil

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Summary

Introduction

We describe the clinical and laboratorial features of oral candidiasis in 66 HIV-positive patients. Lower susceptibility to antifungals by non-albicans isolates supports the importance of surveillance studies using susceptibility tests to aid in the treatment. According to a previous study, variations in the clinical aspects of oral candidiasis have been associated with the progression of HIV infection as the CD4+ T-lymphocyte counts decrease[11].

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